NPIMap

Organization Active NPI

Preferred Injury Physicians of Orange City

  • Chiropractor
  • Orange City, FL
National Provider Identifier
1306366588
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10458 Issued in FL
Legal business name
PREFERRED INJURY PHYSICIANS OF ORANGE CITY
Practice address
2705 Rebecca LN
Orange City, FL 32763-8332
Phone
(407) 900-7246
Fax
(407) 574-5399
NPI assigned
Jun 20, 2017
Last updated
Jun 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ronald Utter, DCNPI 1366719619
Title
Physician
Phone
(407) 509-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10458 FL Primary

Addresses

Primary practice location

2705 Rebecca LN
Orange City, FL 32763-8332

Mailing address

109 Terra Mango Loop
Orlando, FL 32835-8511
Phone (407) 900-7246

National Provider Directory

National Provider Directory

Locations

2705 Rebecca Ln
Ste A
Orange City, FL 32763
Phone (321) 209-9950

109 Terra Mango Loop
Orlando, FL 32835
Phone (407) 900-7246

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497916800000",
    "number": "1306366588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 TERRA MANGO LOOP",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358511",
            "telephone_number": "407-900-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 REBECCA LN",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638332",
            "telephone_number": "407-900-7246",
            "fax_number": "407-574-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED INJURY PHYSICIANS OF ORANGE CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A",
        "authorized_official_last_name": "UTTER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-509-1414",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.